Ewing sarcoma is a severe malignant lesion of the skeletal bones, considered a childhood disease, with the peak incidence occurring between the ages of 10 and 15. Larger tubular bones are more frequently affected.
In the oncology department of the Ichilov (Sourasky) clinic, Ewing sarcoma is treated using the most effective, primarily combined, systemic methods, combining polychemotherapy, radiation therapy, surgical removal, and subsequent endoprosthetics.
Treatment of Ewing sarcoma requires a high level of qualification among medical personnel. At the Ichilov (Sourasky) clinic, treatment of sarcoma is conducted only by highly qualified oncologists — orthopedic surgeons.
Ewing Sarcoma — Advanced Treatment Methods at the Ichilov (Sourasky) Clinic
At Ichilov (Sourasky), comprehensive treatment of the disease is conducted. The complex includes:
- Polychemotherapy. The patient is treated with multi-component chemotherapy agents that are lethal to sarcoma cells. Chemotherapy can be administered both before and after surgery to prevent the development of recurrence. If the cancerous tumor responds positively to chemotherapy before surgery, the course lasts about nine weeks, after which the patient undergoes surgery and continues treatment.
- Radiation therapy. Primarily applied locally, targeting the cancer focus with high doses of radiation.
- Surgical intervention. Despite the widespread and aggressive nature of the process, tumor removal surgery yields excellent results, even if radical removal is not possible; partial removal of the tumor significantly improves dynamics. Modern techniques and the experience of surgeons at Ichilov (Sourasky) allow for organ-preserving surgeries, and if organ-sparing surgery is not possible, endoprosthetics of the removed bone section is performed subsequently.
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Ewing Sarcoma — Diagnostic Procedures Conducted at the Ichilov (Sourasky) Clinic
Ewing sarcoma is an aggressive cancer characterized by rapid progression and metastasis. Typically, by the time treatment begins, patients already exhibit metastases.
- biopsy. Material can be taken from the tumor itself or from nearby skin tissue, and the specimen is then sent for histological examination;
- X-ray. An X-ray of the lesion site is conducted;
- X-ray and CT of the chest organs, lungs;
- osteoscintigraphy. Conducted to detect foci in other bones;
- ultrasound of organs and systems;
- angiography. Conducted to identify vascular lesions;
- CT of the focus. Scanning of the tumor localization site is performed to determine the size of the cancer, its infiltration into adjacent tissues, and the spread of the tumor through the bone marrow canal.
If there is suspicion of cancer spread to the bone marrow, an aspiration biopsy of the bone marrow may be prescribed, followed by examination of the material.